Howard Brody identifies “drug-centered care” as a contrast to “patient-centered care” and asks whether drug-centered care promotes the same outcomes that justify patient-centered care—health and dignity for patients and virtue in providers. Answering in the negative, Brody provides a sobering account of how the pharmaceutical industry molds our disease concepts and our perspectives on medications as medical tools. Brody’s new concept was set up to fail, much as if he had named it “money-centered care” or simply “bad care.” This (...) essay asks whether there is a way to reconceptualize drug-centered care such that, even if it does not promote health, dignity, and virtue, it is at least not obviously at odds with these goals. I identify four ways to show that drug-centered care has, in limited cases, morally legitimate application. I show that whether the morally legitimate application of drug-centered care is in the service of health per se, enhancement or quality of life depends on the theoretical background adopted. (shrink)

The traditional problem of evil is set forth, by no means for the first time, in Part X of Hume's Dialogues Concerning Natural Religion in these familiar words: ‘Is [God] willing to prevent evil, but not able? then he is impotent. Is he able, but not willing? then he is malevolent. Is he both able and willing? whence then is evil?’ This formulation of the problem of evil obviously suggests an argument to the effect that the existence of evil in (...) the world demonstrates that God does not exist. The purpose of this paper is to examine this argument, with a view to showing that while it is not a conclusive argument, it is much stronger than some apologists for traditional theism allow. (shrink)

Definitions of health and disease are of more than theoretical interest. Understanding what it means to be healthy has implications for choices in medical treatment, for ethically sound informed consent, and for accurate assessment of policies or programs. This deeper understanding can help us create more effective public policy for health and medicine. It is notable that such contentious legal initiatives as the Americans with Disability Act and the Patients' Bill of Rights fail to define adequately the medical terms on (...) which their effectiveness depends. In Ethics and the Metaphysics of Medicine, Kenneth Richman develops an "embedded instrumentalist" theory of health and applies it to practical problems in health care and medicine, addressing topics that range from the philosophy of science to knee surgery."Embedded instrumentalist" theories hold that health is a match between one's goals and one's ability to reach those goals, and that the relevant goals may vary from individual to individual. This captures the normative implications of the term health while avoiding problematic relativism. Richman's embedded instrumentalism differs from other theories of health in drawing a distinction between the health of individuals as biological organisms and the health of individuals as moral agents. This distinction illuminates many difficulties in patient-provider communication and helps us understand conflicts between promoting health and promoting ethically permissible behavior. After exploring, expanding, and defending this theory in the first part of the book, Richman examines its ethical implications, discussing such concerns as the connection between medical beneficence and respect for autonomy, patient-provider communication, living wills, and clinical education. (shrink)

In the World Library of Educationalists series, international experts themselves compile career-long collections of what they judge to be their finest pieces--extracts from books, key articles, salient research findings, major theoretical and/practical contributions--so the work can read them in a single manageable volume. Readers will be able to follow the themes and strands of their work and see their contribution to the development of a field. A developmental psychologist by training, Howard Gardner has spent the last 30 years researching, (...) thinking and writing about the development and education of the mind. He has contributed over 30 years researching, thinking and writing about the development and education of the mind. He has contributed over 30 books and 700 articles to the field. He is best known for his critique of the notion that intelligence is one single human intelligence that can be assessed through psychometric tests. Instead Gardner developed the theory of "multiple intelligence" which states that an individual has eight relatively autonomous intelligence: · Language · Music · Emotional · Logical-mathematical · Spatial · Kinesthetic · Creative · Interpersonal (understanding oneself) This theory has proved popular, particularly with those who see the IQ testing a relatively narrow set of abilities. In this book, he brings together over 20 of his key writings in one place. The book begins with a specially written Introduction, which gives an overview of Howard's career and contextualizes his selection in this book. Through his selection we can see the development of his thinking as well as the development of the field. This is the only book that offers this insight into this great scholar's work. (shrink)

Whether to treat autism as exculpatory in any given circumstance appears to be influenced both by models of autism and by theories of moral responsibility. This article looks at one particular combination of theories: autism as theory of mind challenges and moral responsibility as requiring appropriate experience of the reactive attitudes. In pursuing this particular combination of ideas, we do not intend to endorse them. Our goal is, instead, to explore the implications of this combination of especially prominent ideas about (...) autism and about moral responsibility. These implications can be quite serious and practical for autists and those who interact directly with autists, as well as for broader communities as they attend to the fair, compassionate, and respectful treatment of increasing numbers of autistic adults. We find that these theories point to a limited range of situations in which autists should not be blamed for transgressive actions for which neurotypical individuals should be blamed. We build on what others have written on these issues by bringing in a recent cognitive model of the role theory of mind plays in empathy, by discussing the social implications of the theoretical findings, and by raising questions about the compatibility of reactive attitude theories of moral responsibility with the neurodiversity approach to autism. (shrink)

Volume 20, Issue 4, May 2020, Page 33-34.

In a recent paper Robert J. Richman joins a host of doubters who question Gettier's claim that knowledge is not justified true belief. Richman's scepticism of Gettier's counterexamples to the traditional analysis of knowledge stems from what he says are two basic defects in the examples. One defect is that Gettier employs the Principle of Deducibility for Justification which Richman argues is false. The second defect is based on “the obvious consideration that a belief which is justified (...) on the basis of one set of facts or assumptions need not be justified on the basis of a different set.” I shall consider each of these alleged defects and argue that Richman has not shown that in fact they are defects and that Gettier's counterexamples do in fact show that knowledge is not justified true belief.The Principle of Deducibility for Justification states that for any proposition P, if P entails Q and S correctly deduces Q from P and accepts Q as a result of this deduction, then Sis justified in believing Q. (shrink)

As a neurodevelopmental condition that affects cognitive functioning, autism has been used as a test case for theories of moral responsibility. Most of the relevant literature focuses on autism’s impact on theory of mind and empathy. Here I examine aspects of autism related to executive function. I apply an account of how we might fail to be reasons responsive to argue that autism can increase the frequency of excuses for transgressive behavior, but will rarely make anyone completely exempt from moral (...) responsibility in general. On this account, although excuses may apply more often to autists than to others, the excuses that apply to autists are just the same excuses that can apply to anyone. (shrink)

In a time when we as a society are in the process of deciding what our basic rights to health care are, it is critically important for us to have a full and complete understanding of what constitutes health. We argue for an analysis of health according to which certain states are healthy not in themselves but because they allow an individual to reach actual goals. Recognizing that the goals of an individual considered from the point of view of biology (...) and the goals of the same individual considered as an agent in the world might be different, we introduce a distinction between the health of an individual qua organism and the health of an individual qua person. We then argue that this distinction characterizes the evaluations made by patients and healthcare providers better than the widely discussed distinction between disease and illness. (shrink)

The modern theory of computability is based on the works of Church, Markov and Turing who, starting from quite different models of computation, arrived at the same class of computable functions. The purpose of this paper is the show how the main results of the Church-Markov-Turing theory of computable functions may quickly be derived and understood without recourse to the largely irrelevant theories of recursive functions, Markov algorithms, or Turing machines. We do this by ignoring the problem of what constitutes (...) a computable function and concentrating on the central feature of the Church-Markov-Turing theory: that the set of computable partial functions can be effectively enumerated. In this manner we are led directly to the heart of the theory of computability without having to fuss about what a computable function is.The spirit of this approach is similar to that of [RGRS]. A major difference is that we operate in the context of constructive mathematics in the sense of Bishop [BSH1], so all functions are computable by definition, and the phrase “you can find” implies “by a finite calculation.” In particular ifPis some property, then the statement “for eachmthere isnsuch thatP” means that we can construct a functionθsuch thatP)for allm. Church's thesis has a different flavor in an environment like this where the notion of a computable function is primitive.One point of such a treatment of Church's thesis is to make available to Bishopstyle constructivists the Markovian counterexamples of Russian constructivism and recursive function theory. The lack of serious candidates for computable functions other than recursive functions makes it quite implausible that a Bishopstyle constructivist could refute Church's thesis, or any consequence of Church's thesis. Hence counterexamples such as Specker's bounded increasing sequence of rational numbers that is eventually bounded away from any given real number [SPEC] may be used, as Brouwerian counterexamples are, as evidence of the unprovability of certain assertions. (shrink)

Michelle Garcia Winner’s Social Thinking Curriculum is widely used by schools across the USA and has garnered attention internationally. The curriculum addresses social language and behavior deficits among those on the autism spectrum. Although many embrace this curriculum without reservation, the emphasis on social conformity, including avoiding behaviors that make others uncomfortable, merits scrutiny. Individuals who have difficulty understanding social cues and conventions can derive tremendous benefit from learning to fit in, for example, or learning what is likely to make (...) others uncomfortable and why. However, too much emphasis on pleasing others can reinforce undesirable tendencies. For example, autism is already linked to avoidant personality disorder. An emphasis on avoiding making others uncomfortable may also inhibit the development of principled ethical thinking and action. Reframing social thinking to treat it not (or not only) as an end in itself, but as a way to achieve a variety of social and personal goals would go a long way toward addressing the weaknesses of the Social Thinking Curriculum. (shrink)

We consider notions of boundedness of subsets of the natural numbers ℕ that occur when doing mathematics in the context of intuitionistic logic. We obtain a new characterization of the notion of a pseudobounded subset and we formulate the closely related notion of a detachably finite subset. We establish metric equivalents for a subset of ℕ to be detachably finite and to satisfy the ascending chain condition. Following Ishihara, we spell out the relationship between detachable finiteness and sequential continuity. Most (...) of the results do not require countable choice. (shrink)

Ethicists, researchers and policy makers have paid increasing attention to the ethical conduct of research, especially research involving human beings. Research performed with and by undergraduates poses a specific set of ethical challenges. These challenges are often overlooked by the research community because it is assumed that undergraduate student researchers do not have a significant impact on the research community and that their projects are not host to research posing important ethical issues. This paper identifies several features characteristic of research (...) in undergraduate environments. The paper pays special attention to selective small liberal arts colleges, an important segment of higher education in the US, and advocates integrating instruction in research ethics wherever undergraduates are engaged in research. (shrink)

After almost a decade, the discussion initiated by Professor Edmund Gettier's provocative paper “Is Justified True Belief Knowledge?” continues. The most recent contribution to this discussion is Professor John Turk Saunders' attempt to counter Professor Irving Thalberg's claim that a principle that Gettier employs in reaching his notorious negative conclusion is unjustified. I am moved to add to the discussion at this time because it seems to me that the principle in question is unjustified. But more fundamentally, Gettier's argument fails (...) because the putative counter-examples on which it rests fail to make their intended point. I shall discuss these claims in turn.The epistemic principle which I consider unjustified is the one which Thalberg has called the Principle of Deducibility for Justification and which Gettier formulates as follows: “for any proposition P, if S is justified in believing P, and P entails Q, and S deduces Q from P and accepts Q as a result of this deduction, then S is justified in believing Q.”. (shrink)

First I employ bayes' theorem to give some precision to the atheologian's thesis that it is improbable that God exists given the amount of evil in the world (e). Two arguments result from this: (1) e disconfirms god's existence, And (2) e tends to disconfirm god's existence. Secondly, I evaluate these inductive arguments, Suggesting against (1) that the atheologian has abstracted from and hence failed to consider the total evidence, And against (2) that the atheologian's evidence adduced to support his (...) thesis regarding the relevant probabilities is inadequate. (shrink)

Reports of research fraud have raised concerns about research integrity similar to concerns raised about financial accounting fraud. We propose a departure from self-regulation in that researchers adopt the financial accounting approach in establishing trust through an external validation process, in addition to the reporting entities and the regulatory agencies. The general conceptual framework for reviewing financial reports, utilizes external auditors who are certified and objective in using established standards to provide an opinion on the financial reports. These standards have (...) become both broader in scope and increasingly specific as to what information is reported and the methodologies to be employed. We believe that the financial reporting overhaul encompassed in the US Sarbanes–Oxley Act of 2002, which aims at preventing accounting fraud, can be applied to scientific research in 4 ways. First, Sarbanes–Oxley requires corporations to have a complete set of internal accounting controls. Research organizations should use appropriate sampling techniques and audit research projects for conformity with the initial research protocols. Second, corporations are required to have the chief financial officer certify the accuracy of their financial statements. In a similar way, each research organization should have their vice-president of research (or equivalent) certify the research integrity of their research activities. In contrast, the primary responsibility of the existing Research Integrity Officers is to handle allegations of research misconduct, an after-the-fact activity. Third, generally accepted auditing standards specify the appropriate procedures for external review of a corporation’s financial statements. For similar reasons, the research review process would also require corresponding external auditing standards. Finally, these new requirements would be implemented in stages, with the largest 14 research organizations that receive 25% of the total National Institutes of Health funding, adopting these research oversight enhancements first. (shrink)

For decades scholars thought they knew Hume's position on the existence of causes and objects he was a sceptic. However, this received view has been thrown into question by the `new readings of Hume as a sceptical realist. For philosophers, students of philosophy and others interested in theories of causation and their history, The New Hume Debate is the first book to fully document the most influential contemporary readings of Hume's work. Throughout, the volume brings the debate beyond textual issues (...) in Hume to contemporary philosophical issues concerning causation and knowledge of the external world and issues in the history of philosophy, offering the reader a model for scholarly debate. This revised paperback edition includes three new chapters by Janet Broughton, Peter Kail and Peter Millican. Contributors: Kenneth A. Richman, Barry Stroud, Galen Strawson, Kenneth P. Winkler, John P. Wright, Simon Blackburn, Edward Craig, Martin Bell, Daniel Flage, Anne Jaap Jacobson, Rupert Read, Janet Broughton, Peter Millican, Peter Kail. (shrink)

First Published in 2004. Routledge is an imprint of Taylor & Francis, an informa company.

Gleason's theorem for ������³ says that if f is a nonnegative function on the unit sphere with the property that f(x) + f(y) + f(z) is a fixed constant for each triple x, y, z of mutually orthogonal unit vectors, then f is a quadratic form. We examine the issues raised by discussions in this journal regarding the possibility of a constructive proof of Gleason's theorem in light of the recent publication of such a proof.

A notion of completeness and completion suitable for use in the absence of countable choice is developed. This encompasses the construction of the real numbers as well as the completion of an arbitrary metric space. The real numbers are characterized as a complete Archimedean Heyting field, a terminal object in the category of Archimedean Heyting fields.

In response to Walter Benjamin's caveat that every image of the past not recognized by the present as one of its own concerns threatens to disappear irretrievably, this essay examines images of spitting in the work of Michel de Montaigne and Georges Bataille. By resisting insertion within codified cycles of exchange-especially those of institutionalized violence-their images exemplify a defiance to servitude that can be generalized to a theory of sovereignty. An archaeological inventory indicates possibilities provided by the montage of images (...) for the construction of a heterological counterhistory, where spit and spitting challenge the dominance of spirit in Western culture. (shrink)

A very weak omniscience principle is formulated, related omniscience principlesare considered, and the theorem that a function of bounded variation is the difference of two increasing functions is shown to be equivalent to the omniscience principle WLPO. It is a so shown that an arbitrary function with located variation on an interval is the difference of two increasing functions.

A form of Kripke's schema turns out to be equivalent to each of the following two statements from metric topology: every open subspace of a separable metric space is separable; every open subset of a separable metric space is a countable union of open balls. Thus Kripke's schema serves as a point of reference for classifying theorems of classical mathematics within Bishop-style constructive reverse mathematics.

Atomic states are rigorously characterized by the total orbital angular momentum and the total spin angular momentum, but chemists persist in the use of electron configurations based on one-electron quantum numbers and simplified rules for predicting ground state configurations. This practice is defended against two lines of criticism, and its use in teaching chemistry is encouraged with the claim that the inductive approach of Mendeleev and the deductive approach initiated by Schrödinger compose the consummate example of that interaction of empirical (...) and rational epistemologies that defines how chemists think. (shrink)

Howard J. Curzer presents a fresh new reading of Aristotle's Nicomachean Ethics, which brings each of the virtues alive. He argues that justice and friendship are symbiotic in Aristotle's view; reveals how virtue ethics is not only about being good, but about becoming good; and describes Aristotle's ultimate quest to determine happiness.